Organization Active NPI

Jeanne Watson

  • Professional Counselor
  • Hillsville, VA
National Provider Identifier
1275594582
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701000999 Issued in VA
Legal business name
JEANNE WATSON
Doing business as
Appalachian Psychological Trauma Center
Practice address
408 N Main St
Suite a
Hillsville, VA 24343-1435
Phone
(276) 730-0548
Fax
(276) 730-0568
NPI assigned
Mar 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jeanne Watson, PH.D.
Title
Licensed Professional Counselor
Phone
(276) 730-0548

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 0701000999 VA Primary

Addresses

Primary practice location

408 N Main St
Suite a
Hillsville, VA 24343-1435

Mailing address

PO Box 100
Hillsville, VA 24343-0100
Phone (276) 730-0548

Other identifiers 3

IdentifierTypeStateIssuer
087093MOtherVASOUTHERN HEALTH
201692OtherVALUE OPTIONS
437317OtherVAANTHEM BC/BS

Other names 1

  • Appalachian Psychological Trauma Center Doing business as

National Provider Directory

National Provider Directory

Locations

408 N Main St
#A
Hillsville, VA 24343
Phone (276) 730-0548

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275594582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "city": "HILLSVILLE",
            "state": "VA",
            "postal_code": "243430100",
            "telephone_number": "276-730-0548",
            "fax_number": "276-730-0568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 N MAIN ST",
            "address_2": "SUITE A",
            "city": "HILLSVILLE",
            "state": "VA",
            "postal_code": "243431435",
            "telephone_number": "276-730-0548",
            "fax_number": "276-730-0568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANNE WATSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "276-730-0548",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701000999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "087093M",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "201692",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "437317",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Appalachian Psychological Trauma Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hillsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.